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World J Gastroenterol. Jan 7, 2006; 12(1): 134-136
Published online Jan 7, 2006. doi: 10.3748/wjg.v12.i1.134
Interventional therapy for acute hemorrhage in gastrointestinal tract
Hong-Hui Wang, Bin Bai, Kai-Bing Wang, Wei Xu, Yuan-Shu Ye, Wei-Feng Zhang
Hong-Hui Wang, Bin Bai, Kai-Bing Wang, Wei Xu, Yuan-Shu Ye, Department of Radiology, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China
Wei-Feng Zhang, Department of Thyroid Surgery, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China
Correspondence to: Dr Hong-Hui Wang, Department of Radiology, the Second Affiliated Hospital of Harbin University, Harbin 150086, Heilongjiang Province, China. honghuiwang@sina.com
Telephone: +86-451-86605419 Fax: +86-451-86605413
Received: May 12, 2005
Revised: June 2, 2005
Accepted: June 6, 2005
Published online: January 7, 2006
Abstract

AIM: To evaluate the diagnostic angiography and therapy for acute massive hemorrhage in gastrointestinal tract.

METHODS: Twenty-five cases of acute hemorrhage in gastrointestinal tract admitted between April 2002 and September 2004 were reviewed and analyzed by angiography and embolotherapy.

RESULTS: Fifteen patients were men and ten patients were women. The Seldinger technique and method of coaxial duct were used to get access to the bleeding region. PVA particles, gelfoam, and coils were used for embolism. All bleeding sites could be confirmed and were successfully embolized. Hemostasis was achieved in all the patients without bleeding again. The cure rate was 100%.

CONCLUSION: Interventional therapy can not only ascertain the bleeding site, but also stop the bleeding .The method is simple and the effect is certain.

Keywords: Intervention, Acute gastrointestinal bleeding, Angiography, Embolization